Individual provider · Type 1 NPI

Jaden Light Bugg, NP

Nurse Practitioner · Fort Mill, SC

NPI number 1033970462 Active

Practice location

1935 Holbrook Rd, Ste 2200
Fort Mill, SC 29715-9675

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 704 Gold Hill Rd, Ste 207, Fort Mill, SC 29715-8906 · (803) 802-5900
  • 1656 Riverchase Blvd, Ste 3400, Rock Hill, SC 29732-2084 · (803) 328-6281

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X320795 (NC)
Pediatric Nurse Practitioner 363LP0200X320795 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1033970462

Jaden Light Bugg, NP's National Provider Identifier is 1033970462, issued on Jan 22, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Mill, SC. The record was last updated on Mar 20, 2026.